FREQUENCY OF DIAGNOSED GASTROINTESTINAL & LIVER DISEASES IN PAEDIATRIC OPD (OUT PATIENT DEPARTMENT) AT A TERTIARY CARE HOSPITAL OF KARACHI, PAKISTAN
Abstract
OBJECTIVE: To assess the frequency of diagnosed gastrointestinal diseases in the paediatric outpatient patients of Abbasi Shaheed Hospital.
METHODS: A retrospective cohort study was conducted at Paediatric unit-II of Abbasi Shaheed Hospital (from February 2013 to March 2015) which is a tertiary care hospital, sample size of the study was 101, of age between 1 month to 11 years, patient admitted from ER have been excluded. All analysis was performed using SPSS 20.
RESULTS: Out of 101 patients, there were 43(48.8%) males & 45(51.2%) females, of which age range was 3.019± 0.99, 16 patients were referred to other hospitals & 13 were lost to follow up (Table 1)
CONCLUSION: the study concludes that Celiac disease & Hep B, C were the most prevalent disease in our set up where as TTG & PCR are the most frequent investigation performed.
Keywords
References
Zoppi G . The most common gastrointestinal problems in pediatric practice. Pediatr Med Chir. 1996 Mar-Apr;18 (2):131-9.
James E. Everhart. Burden of Digestive Diseases in the United States Part I: Overall and Upper Gastrointestinal Diseases. Gastroenterology. February 2009; 136 (2): 376–386
Laass MW1, Schmitz R, Uhlig HH, Zimmer KP, Thamm M, Koletzko S. The Prevalence of Celiac Disease in Children and Adolescents in Germany. Dtsch Arztebl Int. 2015 Aug 17; 112(33-34):553-536
Mohsin Rashid, Aamir Ghafoor Khan. CELIAC DISEASE IN PAKISTAN: CHALLENGES AND OPPORTUNITIES. J Ayub Med Coll Abbottabad 2009;21(3).
Aziz S1, Muzaffar R, Zafar MN, Mehnaz A, Mubarak M, Abbas Z, Naqvi SA, Rizvi AH. Celiac disease in children with persistent diarrhea and failure to thrive.
J Coll Physicians Surg Pak. 2007 Sep;17(9):554-7.
Bellentani S, Pozzato G, Saccoccio G. Clinical course and risk factors of hepatitis C virus related liver disease in the general population: report from the Dionysos study. Gut 1999;44(6): 874-80
.Chu CM. Natural history of chronic hepatitis B virus infection in adults: emphasis on the occurrence of cirrhosis and hepatocellular carcinoma. J Gastroenterol Hepatotol.Jan 2000;15(2): E25-30.
Rukunuzzaman M1, Karim MB. Chronic Hepatitis B in Children - A Review. Mymensingh Med J. 2015 Jul;24(3):649-56.
Haas RH, Parikh S, Falk MJ, et al. Mitochondrial disease: a practical approach for primary care physicians. Pediatrics.2007;120 (6):1326– 1333.
Weldearegawi B1,2, Melaku YA3, Abera SF4, Ashebir Y5, Haile F6, Mulugeta A7, Eshetu F8, Spigt M9,10.Infant mortality and causes of infant deaths in rural Ethiopia: a population-based cohort of 3684 births. BMC Public Health. 2015 Aug 11;15 (1):770
Karakus SC1, Sarsu SB, Celtık C, Gokce S.Rare causes of gastrointestinal hemorrhage in infancy. Pediatr Int. 2015 Apr;57(2):304-7.
Heron M. Deaths: Leading Causes for 2011. Natl Vital Stat Rep. 2015 Jul 27;64(7):1-96.
Walker, Lynn S.*; Lipani, Tricia A.*; Greene, John W.*; Caines, Karen*; Stutts, John†; Polk, D. Brent*; Caplan, Arlene‡; Rasquin-Weber, Andree‡. Recurrent Abdominal Pain: Symptom Subtypes Based on the Rome II Criteria for Pediatric Functional Gastrointestinal Disorders. Journal of Pediatric Gastroenterology & Nutrition. Feb 2004 , 38 (2)187-191.
Trovato CM1, Montuori M1, Anania C1, Barbato M1, Vestri AR2, Guida S3, Oliva S1, Mainiero F3, Cucchiara S1, Valitutti F1. Are ESPGHAN "Biopsy-Sparing" Guidelines for Celiac Disease also Suitable for Asymptomatic Patients? Am J Gastroenterol. 2015 Sep 15
Demirezer Bolat A1, Akın FE, Tahtacı M, Tayfur Yürekli Ö, Köseoğlu H, Erten Ş, Başaran M, Selvi E, Büyükaşık Ş, Ersoy O. Risk Factors for Polyautoimmunity among Patients with Celiac Disease: A Cross-Sectional Survey.Digestion. 2015 Sep 17;92(4):185-191.
R. P. Beasley, L.-Y. Hwang, C.-C. Lin, M.-L. Leu, C. E. Stevens, W. Szmuness* ,K.-P. Chen Incidence of Hepatitis B Virus Infections in Preschool Children in Taiwan.The Journal of Infectious Diseases.March 1982; 146 (2), 198-204.
Stallings-Smith S1, Krull KR1, Brinkman TM1, Hudson MM2, Ojha RP3. Long-term follow-up for incident cirrhosis among pediatric cancer survivors with hepatitis C virus infection. J Clin Virol. 2015 Oct; 71(3):18-21
Kabiri M, Jazwinski AB, Roberts MS, Schaefer AJ, Chhatwal J. The changing burden of hepatitis C virus infection in the United States: model-based predictions. Ann Intern Med. 2014 Aug 5; 161(3):170-80.
Alcoba G, Chappuis F. The tropical traveling child: risks and prevention. Rev Med Suisse. 2015 May 6; 11 (473):1023-7.
Karimi A1, Mortazaei S2, Moradi MT2. High Prevalence of Symptomatic Hepatitis A Infection in Rural Area of Chaharmahal VA Bakhtiari Province, Iran. J Clin Diagn Res. 2015 Feb;9(2):DC01-3.
Refbacks
- There are currently no refbacks.
This work is licensed under a Creative Commons Attribution 3.0 License.